|
FORM 4
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
OMB APPROVAL
|
| Estimated average burden hours per response... | 0.5 |
|
|
(Print or Type Responses)
|
1. Name and Address of Reporting Person *
|
| Malone Michael |
|
2. Issuer Name and Ticker or Trading Symbol
SRAX, Inc. [SRAX]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
_____ Director
|
_____ 10% Owner
|
|
__X__ Officer (give title below)
|
_____ Other (specify below)
|
|
Chief Financial Officer
|
|
|
2629 TOWNSGATE ROAD #215 |
3. Date of Earliest Transaction (Month/Day/Year)
01/06/2022 |
|
WESTLAKE VILLAGE, CA 91361 |
4. If Amendment, Date Original Filed
(Month/Day/Year)
|
6. Individual or Joint/Group Filing
(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
|
|
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
|
|
1.Title of Security
(Instr. 3)
|
2. Transaction Date (Month/Day/Year)
|
2A. Deemed Execution Date, if any (Month/Day/Year)
|
3. Transaction Code
(Instr. 8)
|
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
|
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
|
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
|
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
|
|
Code
|
V
|
Amount
|
(A) or (D)
|
Price
|
| Class A Common Stock (1) | 12/31/2021 |
| M |
| 100,000 | A |
$2.56 | 101,292 | D |
|
| Class A Common Stock (2) | 12/31/2021 |
| F |
| 57,016 | D |
$4.49 | 44,276 (4) | D |
|
| Class A Common Stock (3) | 12/31/2021 |
| F |
| 16,732 | D |
$4.49 | 27,544 (4) | D |
|
| Series A Non-Voting Preferred Stock (5) | 09/27/2021 |
| J |
| 1,292 | A |
$
0
| 1,292 | D |
|
|
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
|
2. Conversion or Exercise Price of Derivative Security
|
3. Transaction Date (Month/Day/Year)
|
3A. Deemed Execution Date, if any (Month/Day/Year)
|
4. Transaction Code
(Instr. 8)
|
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
|
6. Date Exercisable and Expiration Date
(Month/Day/Year)
|
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
|
8. Price of Derivative Security
(Instr. 5)
|
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
|
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
|
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
|
|
Code
|
V
|
(A)
|
(D)
|
Date Exercisable
|
Expiration Date
|
Title
|
Amount or Number of Shares
|
| Class A Common Stock Purchase Option (6) |
$4.25 | 01/06/2022 |
| A |
| 100,000 |
| 01/06/2022 | 01/06/2029 | Class A Common Stock | 100,000 |
$
0
| 100,000 | D |
|
| Class A Common Stock Purchase Option (7) |
$2.56 | 12/15/2018 |
| M |
|
| 100,000 | 12/15/2018 | 01/02/2022 | Class A common Stock | 100,000 |
$
0
|
0
| D |
|
Reporting Owners
| Reporting Owner Name / Address | Relationships |
| Director | 10% Owner | Officer | Other |
Malone Michael
2629 TOWNSGATE ROAD #215
WESTLAKE VILLAGE, CA 91361 |
|
|
Chief Financial Officer |
|
Signatures
| /s/ Michael Malone | |
02/04/2022 |
| **Signature of Reporting Person | Date |
Explanation of Responses:
| * | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
| ** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
| (1) | Represents exercise of option granted on December 15, 2018 ("2018 Option"). The 2018 Option was exercised on a cashless basis with shares withheld by the Issuer for tax withholding. |
| (2) | Represents shares withheld pursuant to cashless exercise of the 2018 Option. |
| (3) | Represents shares withheld for tax withholding pursuant to exercise of 2018 Option. |
| (4) | Includes 1,292 shares of Class A Common Stock owned by Reporting Person prior to the exercise of the 2018 Option. |
| (5) | Represents securities acquired as a result of a dividend on the Class A Common Stock issued on September 27, 2021. |
| (6) | Represents discretionary stock option bonus grant received by Reporting Person. The options vest quarterly in equal quarterly installments over a three year period beginning on 1/6/2022. |
| (7) | Represents exercise of the 2018 Option. |
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.
|
